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两种基于瑜伽的放松技巧对复发缓解型多发性硬化症患者认知功能的即时影响:一项对比研究。

Immediate effect of two yoga-based relaxation techniques on cognitive functions in patients suffering from relapsing remitting multiple sclerosis: A comparative study.

作者信息

Bhargav Praerna, Bhargav Hemant, Raghuram Nagarathna, Garner Christoph

机构信息

a School of Yoga and Life Sciences , S-VYASA Yoga University , Bangalore , India ;

b Arogyadhama Health Center, S-VYASA Yoga University , Bangalore , India ;

出版信息

Int Rev Psychiatry. 2016 Jun;28(3):299-308. doi: 10.1080/09540261.2016.1191447. Epub 2016 Jun 14.

Abstract

Cognitive impairment (CI) is an important feature of relapsing remitting multiple sclerosis (RRMS). Yogic relaxation techniques have been found useful in improving various cognitive domains in health and disease. Eighteen subjects (13 females) in the age range of 51.5 ± 12.72 years with the diagnosis of RRMS by a neurologist (McDonald Criteria 2010) since last 18.16 ± 12.59 years were recruited into the study from a neuro-rehabilitation centre in Germany. Assessments were done before and immediately after two randomly allocated 30-min sessions of yogic relaxation: Cyclic Meditation (CM) and SR (supine rest or shavasana). Assessments were done for attention, psychomotor performance, information processing speed, executive functions, and immediate and delayed recall using standard psychometric tools. RMANOVA was applied to analyse the data using SPSS version 10. Both CM and SR sessions improved scores on Digit Symbol Substitution Test (DSST) (p < 0.01) and Auditory Verbal Learning Test (AVLT) (p < 0.05). There was a significantly better performance in Trail Making Test (TMT)-A and forward digit span (FDS) after CM as compared to SR (p < 0.01). Yogic relaxation techniques may have an immediate enhancing effect on processing speed, psychomotor performance, and recall of RRMS patients. CM is better than SR in improving processing speed, short-term memory, and verbal working memory.

摘要

认知障碍(CI)是复发缓解型多发性硬化症(RRMS)的一个重要特征。瑜伽放松技巧已被证明有助于改善健康和疾病状态下的各种认知领域。自18.16±12.59年前由神经科医生根据2010年麦克唐纳标准诊断为RRMS的18名受试者(13名女性),年龄在51.5±12.72岁之间,从德国的一个神经康复中心招募进入该研究。在两次随机分配的30分钟瑜伽放松课程(循环冥想(CM)和仰卧放松(SR,即仰卧休息或挺尸式))之前和之后立即进行评估。使用标准心理测量工具对注意力、心理运动表现、信息处理速度、执行功能以及即时和延迟回忆进行评估。使用SPSS 10版本应用重复测量方差分析(RMANOVA)来分析数据。CM和SR课程均提高了数字符号替换测试(DSST)(p<0.01)和听觉言语学习测试(AVLT)(p<0.05)的分数。与SR相比,CM后在连线测验(TMT)-A和顺背数字广度(FDS)方面表现明显更好(p<0.01)。瑜伽放松技巧可能对RRMS患者的处理速度、心理运动表现和回忆有即时增强作用。在提高处理速度、短期记忆和言语工作记忆方面,CM比SR更好。

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